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Steinert, Letyfee ORCID logoORCID: https://orcid.org/0000-0002-3244-4613; Fuchs, Michael ORCID logoORCID: https://orcid.org/0000-0002-7816-3438; Sigmund, Anna M. ORCID logoORCID: https://orcid.org/0000-0001-8533-9617; Didona, Dario ORCID logoORCID: https://orcid.org/0000-0002-6119-1870; Hudemann, Christoph ORCID logoORCID: https://orcid.org/0000-0001-5807-6882; Möbs, Christian ORCID logoORCID: https://orcid.org/0000-0002-5197-7669; Hertl, Michael ORCID logoORCID: https://orcid.org/0000-0002-5494-2461; Hashimoto, Takashi ORCID logoORCID: https://orcid.org/0000-0002-0144-3255; Waschke, Jens ORCID logoORCID: https://orcid.org/0000-0003-1182-5422 und Vielmuth, Franziska ORCID logoORCID: https://orcid.org/0000-0002-8570-7595 (2024): Desmosomal Hyper-adhesion Affects Direct Inhibition of Desmoglein Interactions in Pemphigus. In: Journal of Investigative Dermatology [Forthcoming]

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Abstract

During differentiation, keratinocytes acquire a strong, hyper-adhesive state, where desmosomal cadherins interact calcium ion independently. Previous data indicate that hyper-adhesion protects keratinocytes from pemphigus vulgaris autoantibody–induced loss of intercellular adhesion, although the underlying mechanism remains to be elucidated. Thus, in this study, we investigated the effect of hyper-adhesion on pemphigus vulgaris autoantibody–induced direct inhibition of desmoglein (DSG) 3 interactions by atomic force microscopy. Hyper-adhesion abolished loss of intercellular adhesion and corresponding morphological changes of all pathogenic antibodies used. Pemphigus autoantibodies putatively targeting several parts of the DSG3 extracellular domain and 2G4, targeting a membrane-proximal domain of DSG3, induced direct inhibition of DSG3 interactions only in non-hyper-adhesive keratinocytes. In contrast, AK23, targeting the N-terminal extracellular domain 1 of DSG3, caused direct inhibition under both adhesive states. However, antibody binding to desmosomal cadherins was not different between the distinct pathogenic antibodies used and was not changed during acquisition of hyper-adhesion. In addition, heterophilic DSC3–DSG3 and DSG2–DSG3 interactions did not cause reduced susceptibility to direct inhibition under hyper-adhesive condition in wild-type keratinocytes. Taken together, the data suggest that hyper-adhesion reduces susceptibility to autoantibody-induced direct inhibition in dependency on autoantibody-targeted extracellular domain but also demonstrate that further mechanisms are required for the protective effect of desmosomal hyper-adhesion in pemphigus vulgaris.

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